Hormone tests after being off for 2 years.

Member Stories Lab Tests
#1

New on this forum,and later will post my story.Have been on Propecia for 3 years on and off,and now I’m off for 2 years.I have also some sexual side efects,like low libido and ED. Here is some of my blood work:

Total testosterone 19.3 (8.0-38.0)
Prolactin 7 male< 18 ug/L
Estradiol 80 <161 pmol/L
Free Testosterone 43.6 range 31.0-94.0 pmol/L
DHT 6063 range Male: 860-3406 pmol/L
LH 2 range 1-9 IU/L
FSH 3 range 1-14 IU/L
Tomorow I have apointment with my Urologist,and will post any suggestions or news from him.I fully appreciate any opinion from other members,thanks

#2

Does anybody have any idea why is my DHT so high? I also had apointment today with my Urologist,and he priscribe me TRT capsules for 3 months.He doesn’t know why is my DHT high,and also he told me not to worry,because it is not important hormone.I still don’t know what to do,should I take TRT or not

#3

Maybe it rebounded to skyhigh levels after quitting Finasteride as the body tried to compensate for lack of DHT while you were using it. High DHT levels can surpress Testosterone production.

Why did he prescribe you TRT? Because of your lowish Free Testosterone?

What do you mean by capsules, are you talking about 1. ORAL tablets or 2. pellets implanted under the skin?

If ORAL tablets, they are very dangerous and an extremely outdated method of testosterone replacement, as they are hepatoxic to the liver.

Far better to go with injections or gels. You also need to be aware that if you take TRT you need to monitor Estrogen levels and may need to take an Aromatase inhibitor to keep Estradiol in check. You need to be under the care of a competent endocrinologist who understands the ins and outs of Testosterone therapy and monitors your hormones, not some urologist that just prescribes you something, shoves you out the door and tells you to come back in 3-6 months.

Do some more reading:
duj.com/Article/Hellstrom2/Hellstrom2.html

Really, DHT isn’t an important hormone eh? Guess what, you found out the hard way it IS, because you removed it with Finasteride and then look at what happened… you’re in the position you are now. As soon as he said that I would’ve left his office.

For him to tell you DHT is “not important”, sounds like Merck in disguise. On top of that he prescribes you (likely) oral testosterone… taken together, showing his ignorance and the limits of his knowledge about hormone replacement therapy.

As a practicing Urologist, does he also prescribe Finasteride? My guess is yes… and if that’s the case, no wonder he said what he did. Either way, if it were me I would not trust anything he has to say from this point forward because it doesn’t sound like he has your best interests at heart… I would get a 2nd opinion and see an ENDOCRINOLOGIST.

TRT should be a last resort because you will become dependant on it as it shuts down your own Testosterone production, and also shuts down your sperm production. Yes you can always quit but again, no guarantees everything will return to 100% normal.

Before taking TRT, if you are concerned with boosting your T levels, look into Clomiphene Citrate, hCG or Tamoxifen. Studies are in Drug Therapy section which you can print out and bring with you to docs.

These treatments can help jumpstart your Testosterone production if you are at hypogonadal levels (although it seems you are producing average Total Testosterone, your Free T seems pretty lowish). If you cannot find docs willing to try such treatments (if it is deemed you need them), you can also consider seeing Dr Shippen or Crisler in the USA.

Again though, curious to know why your Uro prescribed you Testosterone tablets… please elaborate on the situation.

#4

Forgive me while i point out that hepatoxic means ‘toxic to the liver’. The prefix hepa means ‘pertaining to the liver’. So that when you say hepatoxic to the liver, you are saying ‘liver toxic to the liver’.

Also, dht is high because we have become androgen insensitive. This guy’s t is ok and dht very high. He should feel fine. In androgen insensitivity dht can get very high because it does not aromatise to estrogen and so is not directly controlled by that negative feedback loop that stops testosterone climbing indefinitely.

#5

Forgive me while I point out that the last batch of posts you decided to bless the forum with was nothing but nit-picky, negative and insulting and added no value whatsoever. That Boston post was a real prize. How long did it take you to come up with that? Do you have nothing better to do with your time then come to this site and act like an ass? Wait, I don’t need you to answer, it’s obvious. Get a hold of yourself man. Really.

#6

Mew might be quite happy to get a heads up on the fact that he has been misusing a word. At least, he strikes me as the kind of guy who would be. Maybe you would not be, but do you speak for him?

As for adding value more generally, i think my point about dht is a valid one. Many guys here have over range dht, so that has something significant to tell us. We need to get a grip on why it is happening. I know you think it is happening because we are out of balance, and the answer is raw food, but not everyone shares this view, and those people will value a discussion of this kind.

The boston random generator was invented quickly. How long does it take to write a few sentences? Have you read boston’s posts? They are insane. Then again, i’m talking to a guy who thinks raw food cures cancer, so what do i expect?

#7

A few things…

  1. This is someone else’s thread, let’s try and keep the discussion on topic as it pertains to his hormone test results

  2. Regarding the hepatoxic liver bit – thanks for your concern, however it is a minor detail. I think people understood the jist of what I was trying to get at: oral testosterone therapy is bad for the liver.

We don’t know that, androgen insensitivity is still only a theory we are trying to investigate. To come to that foregone conclusion yourself, without any testing, is premature. You are simply going off what you believe and not what has been proven; taking action based on such thoughts can be dangerous.

Yes, correct – DHT does not aromatize to estrogen, Testosterone does.

“The DHTs cannot be aromatized.”
books.google.ca/books?id=3nWBva4 … t&resnum=3

Just clarifying in case you were suggesting DHT should aromatize to estrogen, but in our cases somehow cannot.

Please keep your user-bashing to a minimum, or discuss privately with the user if you have issues with them. This is not a forum for flame wars, we’re all in the same boat. Everyone has their own opinions and ways of dealing with things, but to provoke others and carry an arrogant tone is not acceptable.

#8

Yes, that is what i mean: dht does not aromatise to estrogen, and that is why it can climb very high in cases of androgen insensitivity. As you know, aromatisation to estrogen is a fundamental part of the negative feedback loop that stops testosterone climbing too high. There is no similar negative feedback loop controlling conversion of testosterone to dht. So when the body feels androgen deficient dht can climb almost indefinitely. That why many of us have low or normal t but sky high dht.

As for androgen insensitivity still being only an idea, that puzzles me. Clearly in the broadest sense of the phrase - that we have normal androgen levels but are not responding to them - it is something we can observe. I have top range t and dht, normal everything else, and still weak beard growth, for example. Clearly i am, then, not sensitive to the androgen in my body in the way i was before: i am androgen insensitive. Of course, we don’t know why. It could be the androgen receptor, it could be something entirely differen. But the insensitivity itself is a fact we can see.

#9

Thanks guys for your opinion.Urologist also checked my prostate,and he sad it is Ok(not inflamed).I was thinking that maybe my DHT i s high because of Prostate.I am thinking to start to use Saw Pallmeto,to reduce naturaly my DHT and than posible my Tetosterone will increase.I also want to say,that in past I was using Celexa.Interesting,even today when I go on I am almost 80-90% Ok with my libido and erections(sometimes I can loose my erections).I was using Celexa before,and I never develop Ed problems before I started with Finasteride.I am looking forward to see Men’s clinic,who was dealing already with ex-finasteride and ex-antidepresant users.Will post any new information.I’m ofen wisiting Toronto,does anybody know any good Doctor here?

#10

Check doctors section at bottom of site.

#11

Some more lately results

Androstenedione 5.3 range 2.1-10.8 nmol/L

Cortisol fasting 518 range 170-540 nmol/L

PSA 0.74 40-50 years of age 0-2.50 ug/L

Progesterone 0.7 Adult M: <2.0 nmol/L

TSH 1.52 range 0.35-5.00 mIU/L

Now,here are some results from February 2008, 6 months after finasteride(also had low libido and dificult maintaining erections)

Total testosterone 26.5 range 8-38 nmol/L
Free testosterone 71.2 range 31-94 pmolL
Prolactin 7 male<18 ug/L
Estradiol 74 Adult Male<161pmol/L
FSH 3 range male 1-14 IU/L
LH 2 range 1-9 IU/L

I don’t know what is going on here.Next Saturaday I’m having appointment with Doctor at Mens Clinic.He has some expirience with ex-finasteride users,and will post any news

#12

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#13

Thanks for opinion.I wanted to do Adiol test,but that laboratory didn’t have it.Is it posible,that when I take antidepresant,it lowers Cortisol and raises Serotonin,and thats why I feel almost 80-90% Ok with my libido and erections? (in the past I never had Ed or low libido problems until I used propecia,regardles of being on or off antidepresants) Are Adrenal glands responsible also for DHT (because it is very high) and Testosterone levels?And ,where can I get this Saliva test? Thanks

#14

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#15

I have visited in Rijeka,Croatia one of best Urologist in that part of Europe,who had also treated some ex-finasteride patients.I was diagnosed with Chronic Prostatitis.I checked for most of bacteria,but looks like it is Non-bacterial Prostatits,which is harder to treat,and posibly can not cure it.I’m looking forward to see doctor for massages and antibiotics for 2 weeks-every day,and will post any news.He told me that is probably from antidepresants or finasterid,but it can also be from some other causes.He also told me that my hormones are Ok(hormones are also one of the reasons,why you can develope prostatitis).When I asked him about those ex-finasteride patients,he said two of them came back to normal,and one still has some sideffects.Anyways,if anybody has any questions,you can try to call him (from U.S or Canada) at 011 385 51 371-017 His name is Dr. Marwan Naseredin,and I think he is originally from Egypt